One of the greatest mediators of risks to an infant with a myelomeningocele is:

Respiratory depression.

Decreased cardiac output.

Infection.

Neurological damage.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Respiratory depression is less common in myelomeningocele unless secondary to severe neurological anomalies. It is not the primary risk mediator in this congenital condition.

Choice B rationale

Decreased cardiac output is not directly associated with myelomeningocele. This condition primarily affects the spinal cord and surrounding tissues rather than cardiovascular function.

Choice C rationale

Infection risk is high due to exposed neural tissue, making it the most significant concern. Infection can lead to meningitis, sepsis, and neurological deterioration if not properly managed.

Choice D rationale

Neurological damage is inherent to myelomeningocele but does not act as an external risk mediator. The focus is on preventing additional risks like infections to improve outcomes.

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Correct Answer is C

Explanation

Choice A rationale

Projectile vomiting is not a typical symptom of diaphragmatic hernia. This condition primarily affects respiratory function due to lung compression by abdominal organs in the chest cavity.

Choice B rationale

High-pitched crying is not a hallmark symptom of diaphragmatic hernia. The condition primarily presents with respiratory distress due to lung underdevelopment and organ displacement.

Choice C rationale

Respiratory distress occurs due to lung compression and underdevelopment caused by abdominal organs herniating into the chest cavity. This is a primary symptom observed in diaphragmatic hernia cases.

Choice D rationale

Fecal incontinence is unrelated to diaphragmatic hernia. The condition primarily impacts respiratory function due to the displacement of abdominal organs into the thoracic cavity.

A. Respiratory rate of 75. B. Temperature of 96.5°F. C. Sucking or licking of mother’s nipples. D. Flaring of the baby’s nares.

Correct Answer is C

Explanation

Choice A rationale

A respiratory rate of 75 breaths per minute exceeds the normal range of 30 to 60 breaths per minute in neonates. Tachypnea indicates distress, which necessitates immediate intervention to prevent complications.

Choice B rationale

A temperature of 96.5°F is below the normal neonatal range of 97.7°F to 99.5°F, suggesting hypothermia. This can impair enzyme activity, oxygen delivery, and thermoregulatory functions, requiring prompt warming measures.

Choice C rationale

Sucking or licking of the nipples reflects a positive response in kangaroo care, indicative of improved thermoregulation and bonding. This natural behavior also suggests a healthy neonate capable of initiating feeding.

Choice D rationale

Nasal flaring is a sign of respiratory distress, typically indicating increased effort to meet oxygen demands. This would not be considered a positive outcome and requires immediate evaluation and intervention.

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One of the greatest mediators of risks to an infant with a myelomeningocele is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A baby is born with a diaphragmatic hernia. Which of the following signs/symptoms would the nurse likely observe in the delivery room?

Correct Answer is C

Explanation

A mother of a preterm baby is performing skin-to-skin contact in the neonatal nursery. Which of the following responses would the nurse evaluate as a positive neonatal outcome?

Correct Answer is C

Explanation

The initial nursing intervention when caring for a woman experiencing an obstetric hemorrhage associated with uterine atony is to:

Which measure would the nurse expect for preventing postpartum hemorrhage?

There is a baby in the neonatal intensive care unit (NICU) who is exhibiting signs of neonatal abstinence syndrome. Which of the following medications are contraindicated for this neonate?

A nurse is caring for a patient who just stabilized after she had a postpartum hemorrhage with a QBL of 1300 ml. Which of the following are priorities for her care?

Which instruction should be included in the discharge teaching plan to assist the patient in recognizing early signs of complications?

The nurse is educating her G5P5 postpartum patient at discharge after experiencing a postpartum hemorrhage post-delivery. Which education topics are appropriate for this patient?

Which patient would be at the highest risk for postpartum hemorrhage?

The nurse is caring for a couple who are in the labor and delivery unit immediately after the birth of a stillborn baby who exhibited severe birth defects. Which of the following actions by the nurse is appropriate?